Doctor Name: | DOUGLAS E WILES |
NPI Number: | 1326225053 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 2008-0010 |
Business Practice Address: | 1032 E Karsch Blvd Farmington, MO - 636403403 |
Business Phone Number: | 5737019015 |
Business Fax Number: | 5737010103 |
Mailing Address: | 1032 E Karsch Blvd, FARMINGTON |
State: | MO |
Postal Code: | 636403403 |
Phone Number: | 5737019015 |
Fax Number: | 5737010103 |
NPI Enumeration Date: | 01/24/2008 |
NPI Last Update Date: | 08/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237700000X |
License Number: | 2008-0010 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Hearing Instrument Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |